Amanda Wilson
NPI #1265887608 in Saint Charles, Missouri
Provider Information
- NPI Number
- 1265887608
- Entity Type
- Individual
- Name
- Amanda Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 3, 2016
- Last Updated
- Mar 10, 2017
Practice Location
- Address
- 4031 SAN FERNANDO LN
- City
- Saint Charles
- State
- Missouri
- ZIP Code
- 63304-2831
- Phone
- (636) 584-2302
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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